Individual provider Active NPI

Marc Christopher Rambaldi, DPT

  • Physical Therapist
  • West Milford, NJ
National Provider Identifier
1104082858
Registry record updated Aug 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01284100 Issued in NJ
Practice address
2024 Macopin Rd
Suite E
West Milford, NJ 07480-1900
Phone
(973) 728-5588
Fax
(973) 728-0928
NPI assigned
Aug 1, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01284100 NJ Primary

Addresses

Primary practice location

2024 Macopin Rd
Suite E
West Milford, NJ 07480-1900

Mailing address

2024 Macopin Rd
Suite E
West Milford, NJ 07480-1900
Phone (973) 728-5588

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081204000744 NJ Practitioner - Physical Therapist in Private Practice 4789745068 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
James W Cahill MD LLCGroup PAC ID 4284942038, 9 clinicians

Practice addresses (Care Compare)

87 Summit Ave
FL 2
Hackensack, NJ 07601-1262
Phone (201) 880-9110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Network, Inc. Physical Therapist CurrentSince Jul 2, 2012 Accepting new patients
Ivyrehab Network Inc. Physical Therapist Current Accepting new patients
Ivyrehab Network Inc Physical Therapist CurrentSince Jul 2, 2012 Accepting new patients
James W Cahill MD LLC CurrentSince Jun 1, 2018 Accepting new patients
West Milford Physical Therapy Center, LLC Physical Therapist PastSince Jan 1, 1999 Accepting new patients
Orthopedic Specialist of New Jersey PA PastSince May 1, 2008 Accepting new patients

Locations

7 Carnegie Plz
Cherry Hill, NJ 08003

87 Summit Ave
#2
Hackensack, NJ 07601
Phone (201) 488-7905

87 Summit Ave
Hackensack, NJ 07601
Phone (201) 489-0022

454 Passaic St
Hackensack, NJ 07601
Phone (201) 488-7905

140 N State Rt 17
Ste 205
Paramus, NJ 07652
Phone (201) 261-5501

179 Cahill Cross Rd
Ste 308
West Milford, NJ 07480
Phone (973) 728-0906

2024 Macopin Rd
Ste E
West Milford, NJ 07480
Phone (973) 506-6727

4175 Veterans Memorial Hwy
Ste 202
Ronkonkoma, NY 11779

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217548800000",
    "number": "1104082858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2024 MACOPIN RD",
            "address_2": "SUITE E",
            "city": "WEST MILFORD",
            "state": "NJ",
            "postal_code": "074801900",
            "telephone_number": "973-728-5588",
            "fax_number": "973-728-0928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 MACOPIN RD",
            "address_2": "SUITE E",
            "city": "WEST MILFORD",
            "state": "NJ",
            "postal_code": "074801900",
            "telephone_number": "973-728-5588",
            "fax_number": "973-728-0928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMBALDI",
        "first_name": "MARC",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-01",
        "last_updated": "2008-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01284100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Milford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.